Wellformed AI

NPI 1578060075 · live from the CMS NPI Registry

Hamidreza Abbasi

Psychiatry & Neurology, Neurology in Fort Myers, FL. National Provider Identifier 1578060075, active.

NPI record

NPI1578060075 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology 2084N0400X
Practice location11215 Metro Pkwy Ste 3, Fort Myers, FL 33966
Practice phone239-208-2212
Mailing address1422 Edinger Ave Ste 130, Tustin, CA 92780
EnumeratedApril 11, 2018
Last updatedJuly 30, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology2084N0400X321982 (NY)
Psychiatry & Neurology, Neurology2084N0400X73842 (AZ)
Psychiatry & Neurology, Neurology2084N0400X2024036302 (MO)
Psychiatry & Neurology, Neurology2084N0400XFA4268062 (WA)
Psychiatry & Neurology, Neurology primary2084N0400XME168554 (FL)
Psychiatry & Neurology, Neurology2084N0400XMD221303 (OR)
Hospitalist208M00000XME168554 (FL)
Psychiatry & Neurology, Neurology2084N0400X35.151012 (OH)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.